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Inspection, 00/08/2011

Administration Deficiencies

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

00/08/2011

00/08/2012

2

Few

Environmental Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

00/08/2011

00/08/2012

1

Many

Pharmacy Service Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

00/08/2011

00/08/2012

2

Few

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

00/08/2011

00/08/2012

1

Some

Resident Assessment Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Ensure each resident receives an accurate assessment by a qualified health professional.

00/08/2011

00/08/2012

1

Some

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

00/08/2011

00/08/2012

2

Few

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Ensure that residents are fully informed and understand their health status, care and treatments.

00/08/2011

00/08/2012

2

Few

Inspection, 01/00/2010

Quality Care Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide necessary care and services to maintain or improve the highest well being of each resident.

01/00/2010

02/00/2011

3

Few

Inspection, 00/06/2010

Environmental Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

00/06/2010

03/00/2011

1

Some

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

00/06/2010

03/00/2011

1

Some

Mistreatment Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

00/06/2010

03/00/2011

2

Few

Pharmacy Service Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

00/06/2010

03/00/2011

2

Few

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

00/06/2010

03/00/2011

2

Few

Quality Care Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide necessary care and services to maintain or improve the highest well being of each resident.

00/06/2010

03/00/2011

2

Few

Resident Assessment Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

00/06/2010

03/00/2011

2

Few

Inspection, 02/00/2009

Quality Care Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide necessary care and services to maintain or improve the highest well being of each resident.

02/00/2009

01/09/2010

2

Few

Inspection, 00/06/2008

Administration Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

00/06/2008

02/00/2009

1

Some

Environmental Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

00/06/2008

02/00/2009

2

Few

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

00/06/2008

02/00/2009

1

Some

Mistreatment Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

00/06/2008

02/00/2009

2

Some

Nutrition and Dietary Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

00/06/2008

02/00/2009

2

Few

Provide special eating equipment and utensils for each resident who needs them.

00/06/2008

02/00/2009

2

Few

Store, cook, and serve food in a safe and clean way.

00/06/2008

02/00/2009

2

Few

Pharmacy Service Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

00/06/2008

02/00/2009

2

Few

Quality Care Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide medically-related social services to help each resident achieve the highest possible quality of life.

00/06/2008

02/00/2009

2

Few

Provide care by qualified persons according to each resident's written plan of care.

00/06/2008

02/00/2009

2

Few

Provide necessary care and services to maintain or improve the highest well being of each resident.

00/06/2008

02/00/2009

2

Few

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

00/06/2008

02/00/2009

2

Few

Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident

Resident Assessment Deficiencies

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

00/06/2008

02/00/2009

2

Some

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Give residents a notice of rights, rules, services and charges.

00/06/2008

02/00/2009

2

Few

Tell the resident or the resident

00/06/2008

02/00/2009

1

Some

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

00/06/2008

02/00/2009

1

Some

Reasonably accommodate the needs and preferences of each resident.

00/06/2008

02/00/2009

2

Few

Nursing Home Staffing

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average

Average in CA

Golden Living Center, Asheville

RN Staff Only1

N/A

N/A

3 out of 5 stars

Total Number of Residents

86

81

100

Total, Licensed Nurse Staff Hoursper Resident per Day

16 hours 51 minutes

27 hours 36 minutes

1 hour 22 minutes

RN Hoursper Resident per Day

16 hours 3 minutes

26 hours 44 minutes

33 minutes

LPN/LVN Hoursper Resident per Day

16 hours 17 minutes

27 hours 42 minutes

49 minutes

CNA Hoursper Resident per Day

17 hours 46 minutes

28 hours 39 minutes

3 hours 17 minutes

1 The star rating a nursing home received for the information it provided about its
Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing
hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the
number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in
the nursing home's Overall Rating.

Most Recent Inspection: 10/11/2011

Automatic Sprinkler Systems in all required areas

Yes

Date of last standard fire safety inspection:

10/11/2011

Dates of Complaint Investigations:

04/01/2011 - 03/31/2012

Total number of Fire Safety Deficiencies for this nursing home:

0

Average number of Fire Safety Deficiencies in CA:

2

Average number of Fire Safety Deficiencies in US:

2

Range of Fire Safety Deficiencies in CA:

0 -
5

Inspection, 01/04/2011

Automatic Sprinkler Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Automatic sprinkler systems that have been maintained in working order.

01/04/2011

02/07/2011

2

Some

Emergency Plans and Fire Drills Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Record of quarterly fire drills for each shift under varying conditions.

01/04/2011

02/07/2011

1

Many

Hazardous Area Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

01/04/2011

02/07/2011

2

Few

Inspection, 01/01/2010

Automatic Sprinkler Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Properly working alarms on sprinkler valves.

01/01/2010

02/06/2010

2

Some

Automatic sprinkler systems that have been maintained in working order.

01/01/2010

02/06/2010

2

Some

Building Construction Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Approved construction type or materials.

01/01/2010

02/06/2010

2

Few

Electrical Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Weekly inspections and monthly testing of generators.

01/01/2010

02/06/2010

1

Many

Fire Alarm Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

A fire alarm system that can be heard throughout the facility.

01/01/2010

02/06/2010

2

Some

Smoke Compartmentation and Control Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Smoke barrier doors that can resist smoke for at least 20 minutes.

01/01/2010

02/06/2010

2

Few

Inspection, 01/01/2008

Automatic Sprinkler Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Automatic sprinkler systems that have been maintained in working order.

01/01/2008

02/06/2008

1

Many

Building Construction Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Approved construction type or materials.

01/01/2008

02/06/2008

2

Some

Corridor Walls and Doors Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Corridor and hallway doors that block smoke.

01/01/2008

02/06/2008

2

Few

Electrical Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Properly installed electrical wiring and equipment.

01/01/2008

02/06/2008

2

Few

Fire Alarm Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

An approved installation, maintenance and testing program for fire alarm systems.

01/01/2008

02/06/2008

1

Many

Hazardous Area Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.